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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> c. Tank/Piping Disposal Site : <br /> Name RECOLOGY HAY ROAD <br /> Address 6426 HAY ROAD City VACAVILLE Zip 95336 <br /> Phone No. ( 707 ) 678-4718 <br /> EPA ID# (if transported to a permitted TSD facility) TANKS AND PIPING TO HAY ROAD LANDFILL <br /> 9. Is the sampling firm an independent third party from the contractor (REQUIRED)? YES Pc] NO [ ] <br /> 9a . Describe , in detail , how the soil and/or water sample(s) beneath the tank and piping will be obtained : <br /> TWO SOIL SAMPLES WILL BE COLLECTED UNDER EACH UST AND ONE FROM EACH END OF UST SAMPLES WILL BE COLLECTED TWO FEET BELOW THE BOTTOM <br /> OF EACH UST APPROXIMATELY 1 /3 OF THE WAY IN FROM EACH UST END PIPELINE SAMPLES WILL BE COLLECTED EVERY 20 LINEAR FEET OF <br /> PRODUCT LINE OR VENT PIPING AND AT PIPE FITTINGS AS DIECTED BY THE INSPECTOR. ONE SAMPLE WILL BE COLLECTED UNDER EACH DISPENSER <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal : <br /> PI Arr PRF\/101 ISI Y FYCA\/ATFI PFA rRAVFI INTO THF I ICT FXrAVATIQN IMPORT APPROXI AATFI Y dFfl Tc) Nc; (1F PFA GRA /FI AND PI AGE IN 12" LIFTS <br /> IMPORT 225 TONS OF CLASS II AGGREGATE BASE AND COMPACT TO 95%. PAVE WITH 4" OF ASPHALT <br /> 11 . Handling of excavated soil : <br /> a) What material will be used to line the tank pit and cover the stockpile? <br /> SOIL/GRAVEL WILL BE STOCKPILED ON AND COVERED WITH 6-MIL VISQUEEN. AT THE COMPLETION OF THE EXCAVATION, STOCKPILES WILL BE SAMPLED <br /> AND ANALYZED TO DETERMINE IF IT CAN BE USED AS BACKFILL. . <br /> b) What will be the final destination of the excavated stockpile? <br /> jF THF Cf111 (:ANN(1T RF I ICFff F(1R RAf:KFII I THF Coll WII I RF f11CP(14Ff1 AT F(1RIAIARh I ANnFII I IN MANTF('A (`A 9999 S . Austin Road <br /> Manteca , CA 95336 <br /> c) Contaminated Soil Hazardous Waste Hauler: <br /> Name ACT ENVIRO Hauler Registration # CAR000049064 <br /> Address 967 MAYBURY ROAD City SAN JOSE Zip 95133 <br /> Phone Number ( 866 333-9222 <br /> 12 . What is the depth to groundwater? APPROXIMATELY 16 FEET BELOW GRADE SURFACE. BASED ON INFORMATION PROVIDED BY STANTEC <br /> Describe the source of information : <br /> 13 . Are there any water wells on this parcel or adjacent properties ? YES [ ] NO [ x] <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft . <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> OtherT� ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES [ ] NO [x] <br /> 15 . Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank, If the party designated below is different than the permit applicant, e .g . property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name INNOVATIVE CONSTRUCTION <br /> Mailing Address 2525 STANWELL DRIVE, SUITE 200 CONCORD, CALIFORNIA 94520 <br /> Day Phone Number ( 925 574-2606 <br /> 5of10 <br />